Effect of Single-port Laparoscopic Surgery in the Patients with Total Hysterectomy for Uterine Myomaand Influence for Digestive System/CHEN Fuchun， ZHONG Li，WANG Jinyong.//Medical Innovation of China，2025，22（18）： 061-065

[Abstract]Objective：To investigate the efect of single-port laparoscopic surgery inthe patients with total hysterectomy foruterine myoma and influence fordigestive system.Method：The clinical data of 65 patients with traditionallaparoscopictotalhysterectomyinFujianMedical UniversityAfiliatedLongyanFirst Hospital foruterine myoma from January 2O21 to October 2O24 were retrospectively chosen as the control group，and 65 patients treated with single-port laparoscopic total hysterectomy atthe same time were chosen as the observation group.Then the operative indexes （operation time and intraoperative blood los），the adverse reactions rates of digestive system （nausea，vomiting and bloating），the improvement time of postoperative digestivefunction （recovery timeof bowel sounds，exhausttimeand defecation time），pain situation [visual analogue scale（VAS）score]anddigestivesystem evaluation items [intestinal mucosal barrier diamine oxidase （DAO），endotoxin （ET） and D-lactic acid （D-LAC） and gastrointestinal motility motilin （MTL）and gastrin （GAS）] before and after the operation of two groups were compared.Result： Theoperation time and intraoperative blood loss of two groups were compared，the diffrences were not statistically significant （ P gt;0.05），the total of adverse reactions rate of digestive system in the observation group was significantly lower than that of control group，recoverytime of bowel sounds，exhaust time anddefecation time were significantly earlier than those of control group，the differences were statistically significant （ P lt;0.05）， the VAS score，levels of intestinal mucosalbaierand gastrointestinal motility indexes of two groups before the operation andat48th hour afterthe operation werecompared，the diferences were notstatisticallysignificant （Pgt;O.5），the VAS score，levelsof intestinal mucosal barrierof observation groupat12thand24th hour after theoperation were significantly lower thanthoseof control group，thelevelsof gastrointestinal motility indexes were significantly higher than those of control group，the differences were statistically significant （Plt;0.05） .Conclusion：The effect of single-portlaparoscopicsurgeryinthepatientswithtotal hysterectomyforuterinemyomaisbetter，anditsadverse influence for the digestive system is less，so its application value in these patients is higher.

Key Words]Single-port laparoscopic surgeryUterine myomaTotal hysterectomyDigestive system First-author's address： Department of Gynaecology， Fujian Medical University Afiliated Longyar First Hospital，Longyan 3640oo， China doi：10.3969/j.issn.1674-4985.2025.18.015

子宫肌瘤是妇科常见病，较多患者采用子宫全切术治疗本病，取得一定的效果，而腹腔镜手术作为本病的微创治疗方式，对患者的手术创伤相对较小，对机体多方面的影响控制也相对更好，但是作为有创性治疗方式，对患者的手术性创伤仍普遍存在，而胃肠功能是受本类手术影响较大的方面，因此消化系统方面的影响与监测意义较高，可作为手术方式选择的参考与评估依据之一[-2]。近年来临床中关于单孔腹腔镜在子宫肌瘤全子宫切除术患者中的应用研究不断增多，包括与传统腹腔镜手术的比较性研究可见，但是研究结果差异较大[3-5]，对于消化系统状态的影响程度研究更为不足。故本研究探究单孔腹腔镜在子宫肌瘤全子宫切除术中的效果及对消化系统的影响，并与传统腹腔镜进行比较，为子宫肌瘤手术方式的选择提供参考依据，现将结果进行分析总结，并报道如下。

1资料与方法

1.1一般资料

回顾性选择2021年1月一2024年10月福建医科大学附属龙岩第一医院的65例进行传统腹腔镜子宫肌瘤全子宫切除术患者为对照组，同时期的65例行单孔腹腔镜子宫肌瘤全子宫切除术的患者为观察组。纳入标准：20＼～65岁；符合腹腔镜子宫肌瘤全子宫切除术手术指征；ASA分级I、Ⅱ级。排除标准：合并其他盆腔疾病；合并多系统器官功能不全；糖尿病、高血压、慢阻肺及其他疾病；沟通或认知障碍；消化系统疾病；资料不完善。本次研究经福建医科大学附属龙岩第一医院医学伦理学委员会批准。……